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Organization

OCHILTREE COUNTY HOSPITAL DISTRICT

Active
Other names
OGH Medical Equipment & Supply
Organization subpart
No

Provider details

NPI number
Authorized official
MR. NATHAN S STAGGS (CEO/ADMINISTRATOR)
(806) 435-3606
Entity
Organization

Contact information

Practice address
401 SW 24TH AVE APT 304, PERRYTON, TX 79070-5126
(806) 648-7500
(806) 435-2813
Mailing address
3101 GARRETT DR, PERRYTON, TX 79070-5323
(806) 435-3606
(806) 435-2813

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
38351
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010798901
TX
Enumeration date
01/17/2007
Last updated
05/22/2014
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